SAINT MARY PEDIATRIC NEUROLOGY MEDICAL CLINIC, INC
NPI 1871677377
Specialist in Los Angeles, CA
About Saint Mary Pediatric Neurology Medical Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAINT MARY PEDIATRIC NEUROLOGY MEDICAL CLINIC, INC (NPI 1871677377) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since October 2006. The organization lists Raafat Iskander, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Saint Mary Pediatric Neurology Medical Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Saint Mary Pediatric Neurology Medical Clinic, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Saint Mary Pediatric Neurology Medical Clinic, Inc's NPI number?
The NPI number for Saint Mary Pediatric Neurology Medical Clinic, Inc is 1871677377. It was assigned to this organization in the NPPES registry on October 24, 2006.
Where is Saint Mary Pediatric Neurology Medical Clinic, Inc located?
Saint Mary Pediatric Neurology Medical Clinic, Inc is located at 6200 Wilshire Blvd Suite 1708, Los Angeles, CA 90048. The listed phone number is (323) 939-0008.
What is Saint Mary Pediatric Neurology Medical Clinic, Inc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Saint Mary Pediatric Neurology Medical Clinic, Inc enrolled in Medicare?
Yes. Saint Mary Pediatric Neurology Medical Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Saint Mary Pediatric Neurology Medical Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Saint Mary Pediatric Neurology Medical Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Saint Mary Pediatric Neurology Medical Clinic, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Saint Mary Pediatric Neurology Medical Clinic, Inc · NPI 1871677377
Specialist organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1871677377 (Entity type: Organization)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Raafat Iskander, OWNER
## Practice location
- **Address:** 6200 WILSHIRE BLVD, SUITE 1708, Los Angeles, CA 90048-5801
- **Phone:** (323) 939-0008 · **Fax:** (323) 939-0070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Neurology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 00A836040 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1871677377) · Data from the CMS NPPES public registry.